PROPOSAL FOR MEMBERSHIP OR ELEVATION 1. THE CANDIDATE FULL NAME & TITLE:... PREFERRED NAME:... BUSINESS NAME... & POSTAL ADDRESS:...... TEL:... FAX:... MOBILE:. EMAIL:... PRIVATE ADDRESS:...... CURRENT MEMBERSHIP CLASS (if any):... PROPOSED MEMBERSHIP FELLOW OVERSEAS CLASS: ORDINARY STUDENT DATE OF BIRTH:... 2. CANDIDATE S UNDERTAKING I,..., the aforementioned CANDIDATE for membership of the Institute of Patent and Trade Mark Attorneys of Australia am desirous of admission to membership of the Institute and declare that the particulars on this proposal are complete and correct; and having studied the Institute s Memorandum, Articles and by-laws, and Code of Ethics, if elected agree to abide by the Articles of Association and By-Laws of the Institute and Code of Ethics. SIGNATURE OF CANDI
3. THE PROPOSER I,.... being a Fellow of the Institute of Patent and Trade Mark Attorneys of Australia, hereby propose the aforementioned candidate for membership of the Institute of Patent and Trade Mark Attorneys of Australia in the class nominated. I have known and have been acquainted with the candidate for a period of.. years and... months and know the candidate to be of good repute and to the best of my knowledge the information contained in this proposal is correct. SIGNATURE OF PROPOSER:... 4. THE RECOMMENDERS We, the FIRST and SECOND RECOMMENDERS, being FELLOWS of the Institute, recommend the aforementioned candidate as a person properly qualified for Membership in the class nominated. SIGNATURE OF FIRST RECOMMENDER:... NAME IN BLOCK LETTERS:... SIGNATURE OF SECOND RECOMMENDER:... NAME IN BLOCK LETTERS:... 5. COUNCIL APPROVAL The COUNCIL of the Institute has considered and approved the Candidate s qualifications and authorises the President or Vice-President to sign this proposal signifying the Candidate s election. SIGNATURE OF PRESIDENT OR VICE-PRESIDENT:...
6. PROPOSAL FOR MEMBERSHIP AS A FELLOW a. The candidate is a patent attorney and was entered on the Register of Patent Attorneys under the Patents Act 1990 on... b. The candidate is ordinarily resident in Australia. c. The candidate has a degree, diploma or post-graduate award of an Australian tertiary institution in a course approved by the Council in a branch of engineering or science, or such other tertiary qualification which in the opinion of Council is of equivalent value in carrying out the professional work of a patent attorney in Australia; Degree/Diploma:... Discipline:... Awarding Institute:... Other Qualifications:... d. The candidate has for not less than five years, been engaged in carrying out the professional work of a patent attorney in Australia, either (i) (iii) as a patent attorney registered in Australia, or not being a patent attorney registered in Australia, as an employee of or under the supervision of a patent attorney registered in Australia, or as a combination of (i) and Patent Attorney Firm From Till
7. PROPOSAL FOR ORDINARY MEMBERSHIP a. (i) The candidate is a patent attorney registered in Australia and was entered on the Register of Patent Attorneys under the Patents Act 1990 on... and The candidate has a degree, diploma or post-graduate award of an Australian tertiary institution in a course approved by the Council in a branch of engineering or science, or such other tertiary qualification which in the opinion of Council is of equivalent value in carrying out the professional work of a patent attorney in Australia; Degree/Diploma:... Discipline:... Awarding Institute:... Other Qualifications:... or The candidate is a trade marks attorney registered in Australia and was entered on the Register of Trade Marks Attorneys under the Trade Marks Act 1995 on... b. (i) Please provide details of current and previous employment: Firm/Corporation/Organisation From Till
8. PROPOSAL FOR OVERSEAS MEMBERSHIP a. The candidate is qualified and practising in a place outside Australia as a: patent attorney patent agent trade mark attorney trade mark agent in the following country:... Firm/Organisation:... b. The candidate does not have an office or place of business in Australia. c. The candidate is not ordinarily resident in Australia. 9. PROPOSAL FOR STUDENT MEMBERSHIP a. The candidate is not a patent or trade marks attorney registered in Australia a b. (i) The candidate has been engaged at the time of election, and has been so engaged for a period of at least six months, as a pupil or assistant by or under the supervision of a patent attorney or trade marks attorney registered in Australia. Patent Attorney Firm From Till or the candidate has been engaged at the time of election, and has been so engaged in Australia for a period of at least six months, in carrying out legal and/or technical work related to industrial property in a department of a firm, corporation or organisation in Australia which is engaged in the carrying out of the industrial property work of the firm, corporation or organisation. Firm/Corporation/Organisation From Till c. The candidate has entered or shall propose to enter for at least one of the subjects of the examinations prescribed for the registration of patent attorneys or trade marks attorneys in Australia.